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North Dakota rates for HCPCS J7169

Injection Coagulation Factor Xa (Recombinant) Inactivated-Zhzo (Andexxa) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $229.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $150.00 / $150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.25 / $131.91 / $133.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.56 / $131.71 / $133.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $360.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $135.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.25 / $125.00 / $135.76